Ostomy skin barrier wafer, extended wear

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SEAL PROTECTIVE STOMA 4.2X35MM

Payers reporting HCPCS A4385

Payer pricing summary

Low

Average

$17

Median

$10

High

$108

Payer rate distribution

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Filter by billing class

#
1	Humana fee schedule · outpatient · +17 other terms	306	$7	$11	$13	112%	—	$3 – $71
2	UnitedHealthcare fee schedule · outpatient · +18 other terms	303	$7	$8	$5	65%	—	$3 – $51
3	Aetna fee schedule · outpatient · +16 other terms	273	$7	$8	$4	47%	—	$3 – $44
4	WellCare fee schedule · outpatient · +7 other terms	191	$7	$8	$1	18%	—	$2 – $14
5	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	188	$7	$9	$5	50%	—	$1 – $33
6	Devoted fee schedule · outpatient · +4 other terms	163	$7	$7	$0	2%	—	$7 – $8
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$7	$7	$0	3%	—	$7 – $8
8	Molina fee schedule · outpatient · +8 other terms	103	$9	$10	$4	41%	—	$2 – $19
9	Cigna fee schedule · outpatient · +14 other terms	88	$7	$27	$31	115%	—	$7 – $100
10	Anthem fee schedule · outpatient · +13 other terms	80	$7	$7	$1	16%	—	$3 – $12
11	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$8	$8	$0	1%	—	$7 – $8
12	Kaiser fee schedule · outpatient · +8 other terms	39	$7	$7	$0	2%	—	$7 – $7
13	Clover fee schedule · outpatient · +1 other terms	37	$7	$7	$0	3%	—	$7 – $8
14	Bcbs Tx fee schedule · outpatient	31	$7	$7	$2	29%	—	$5 – $25
15	Optum fee schedule · outpatient · +4 other terms	31	$7	$23	$23	101%	—	$7 – $90
16	Oscar fee schedule · outpatient · +5 other terms	24	$7	$7	$0	3%	—	$7 – $8
17	Caresource facility · case rate · outpatient · +9 other terms	20	$15	$15	$4	28%	—	$7 – $27
18	Medicare fee schedule · outpatient · +2 other terms	18	$7	$7	$0	1%	—	$7 – $7
19	Amerihealth Caritas fee schedule · outpatient · +3 other terms	16	$9	$9	$0	2%	—	$8 – $9
20	Medcost facility · percent of total billed charges · bothfrom % of charges · +1 other terms	14	$1	$2	$1	56%	—	$1 – $3
21	MultiPlan fee schedule · outpatient · +12 other terms	14	$13	$38	$30	78%	—	$7 – $82
22	Aetna Better Health fee schedule · outpatient · +6 other terms	13	$3	$6	$2	31%	—	$3 – $7
23	Wellmark fee schedule · both · +3 other terms	13	$6	$6	$0	3%	—	$5 – $6
24	Ambetter case rate · outpatient · +7 other terms	12	$10	$11	$0	4%	—	$10 – $11
25	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$6	$4	$3	75%	—	$0 – $8

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